RHEUMATOLOGY ICD-10 CROSSWALK ICD is revised periodically and is currently in its tenth edition and will be implemented in the United States on October 1, 2015. There is an annual minor update and three-yearly major updates are published by the WHO. A list of top commonly used diagnosis codes in rheumatology are listed below as a supplementary tool to the official ICD-10 manual and should not be used independently. ICD-9 Code and Description ICD-10 Code Mapping 136.1 Behçet's syndrome M35.2 Behçet’s syndrome 274.00 Gouty arthropathy, unspecified M10.09 Idiopathic gout, multiple sites 274.01 Acute gouty arthropathy Related ICD-10 Codes M10.01 (1,2,9) Idiopathic gout, shoulder M10.02 (1,2,9) Idiopathic gout, elbow M10.03 (1,2,9) Idiopathic gout, wrist M10.04 (1,2,9) Idiopathic gout, hand M10.05 (1,2,9) Idiopathic gout, hip ICD-10 Guidelines Excludes 1: Chronic gout (M1A.-) ICD-10 rules for Excludes 1 codes indicates that this is a mutually exclusive code; two conditions that cannot be reported together. M10.06 (1,2,9) Idiopathic gout, knee M10.07 (1,2,9) Idiopathic gout, ankle and foot M10.08 Idiopathic gout, vertebrae 274.02 Chronic gouty arthropathy w/o mention of tophus M1A.09X0 Idiopathic chronic gout, multiple sites, w/o tophus 274.03 Chronic gouty arthropathy with tophus M1A.09X1 Idiopathic chronic gout, multiple sites, with tophus M1A.01(1,2,9) Idiopathic chronic gout, shoulder M1A.02(1,2,9) Idiopathic chronic gout, elbow M1A.03(1,2,9) Idiopathic chronic gout, wrist Excludes 1: Acute gout (M10.-) The appropriate 7th character is to be added to each code from category M1A M1A.04(1,2,9) Idiopathic chronic gout, hand M1A.05(1,2,9) Idiopathic chronic gout, hip M1A.06(1,2,9) Idiopathic chronic gout, knee M1A.07(1,2,9) Idiopathic chronic gout, ankle and foot M1A.08 Idiopathic chronic gout, vertebrae ICD-9 and ICD-10 numeric codes and description are copyrighted by the World Health Organization. All rights reserved 2015. ICD-9 Code and Description 443.0 Raynaud’s syndrome ICD-10 Code Mapping Related ICD-10 Codes ICD-10 Guidelines I73.00 Raynaud’s syndrome without gangrene I73.01 Raynaud’s syndrome with gangrene 447.6 Unspecified Arteritis I77.6 Arteritis, unspecified Excludes 1: Arteritis or endarteritis 696.0 Psoriatic arthropathy L40.53 Psoriatic spondylitis 710.0 Systemic lupus erythematosus M32.10 Systemic lupus erythematosus, organ or system involvement unspecified M32.9 Systemic lupus erythematosus, unspecified —SLE NOS —Systemic lupus erythematosus NOS —Systemic lupus erythematosus without organ involvement 710.1 Systemic sclerosis M34.81 Systemic sclerosis with lung involevment M34.89 Other systemic sclerosis M34.82 Systemic sclerosis with myopathy Excludes 1: Circumscribed scleroderma (L94.0) M34.83 Systemic with polyneuropathy 710.2 Sicca syndrome M35.00 Sicca syndrome M35.02 Sicca syndrome with lung involvement M35.03 Sicca syndrome, with myopathy M35.09 Sicca syndrome with other organ involvement 714.0 Rheumatoid arthritis M05.79 Rheumatoid arthritis with rheumatoid factor of multiple sites without organ or systens involvement M05.89 Other rheumatoid Anatomical site: arthritis with rheumatoid fac- Shoulder - 1 tor of multiple sites Elbow - 2 Wrist - 3 Hand - 4 Hip - 5 Knee - 6 Ankle and foot - 7 Vertebrae - 8 Laterality: Right - 1 Left - 2 ICD-9 and ICD-10 numeric codes and description are copyrighted by the World Health Organization. All rights reserved 2015. ICD-9 Code and Description 714.0 Rheumatoid arthritis ICD-10 Code Mapping M06.09 Rheumatoid arthritis without rheumatoid factor, multiple sites Related ICD-10 Codes M06.89 Other specified rheumatoid arthritis, multiple sites ICD-10 Guidelines Anatomical site: Shoulder - 1 Elbow - 2 Wrist - 3 Hand - 4 Hip - 5 Knee- 6 Ankle and foot - 7 Vertebrae - 8 Laterality: Right - 1 Left - 2 714.30 Polyarticular juvenile RA chronic or unspecified M08.09 Unspecified juvenile rheumatoid arthritis of multiple sites M08.3 Juvenile rheumatoid polyarthritis (seronegative) M08.29 Juvenile rheumatoid arthritis with systemic onset, multiple sites M08.89 Other juvenile arthritis, multiple sites M08.99 Juvenile arthritis, unspecified, multiple sites Excludes 1: Arthropathy in Whipple’s disease (M14.8) Felty’s syndrome (M05.0) Juvenile dermatomyositis (M33.0_) Psoriatic juvenile arthropathy (L40.54) Anatomical site: Shoulder - 1 Elbow - 2 Wrist - 3 Hand - 4 Hip - 5 Knee- 6 Ankle and foot - 7 Vertebrae - 8 Laterality: Right - 1 Left - 2 714.9 Unspecified inflammatory polyarthropathies other M06.4 Inflammatory polyarthropathy 715.05 - 715.95 Osteoarthritis of hip M16.1 Unilateral primary osteoarthritis of hip M16.0 Bilateral primary osteoarthritis of hip M16.3 Unilateral resulting from hip dysplasia M16.4 Bilateral post-traumatic of hip M16.5 Unilateral post-traumatic osteoarthritis of hip M16.6 Other bilateral secondary osteoarthritis of hip M16.7 Other unilateral secondary osteoarthritis of hip Excludes 1: Polyarthritis NOS (M13.0) Excludes 1: Bilateral involvement of single joint (M16-M19) ICD-9 and ICD-10 numeric codes and description are copyrighted by the World Health Organization. All rights reserved 2015. ICD-9 Code and Description 715.9_ Osteoarthrosis unspecified whether generalized or localized [0-8] ICD-10 Code Mapping Related ICD-10 Codes M19.0_ Primary osteoarthritis of other joints ICD-10 Guidelines Excludes 1: Polyarthritis (M15._) M19.1_ Post-traumatic osteoarthritis of other joints Excludes 2: Arthrosis of spine (M47._) Hallux rigidus (M20.2) Osteoarthritis of spine (M47.1_) M19.2_ Secondary osteoarthritis of other joints Laterality: Shoulder - 1 Elbow - 2 Wrist - 3 Hand - 4 Ankle and foot - 7 715.06 - 715.96 Osteoarthrosis of knee M17.1 Unilateral primary osteoarthritis of knee M17.3 Unilateral posttraumatic osteoarthritis of knee M17.5 Other unilateral secondary osteoarthritis of knee 715.04 - 715.94 Osteoarthrosis of hand M18.1 Unilateral primary osteoarthritis of first carpometacarpal joint M18.3 Unilateral posttraumatic osteoarthritis of first carpometacarpal joint M18.5 Other unilateral secondary osteoarthritis of first carpometacarpal joints 715.0 - 715.9 Osteoarthrosis [1,-4,7] M19.0 Primary osteoarthritis of other joints M19.1 Post-traumatic osteoarthritis of other joints M19.2 Secondary osteoarthritis of other joints M17.0 Bilateral primary osteoarthritis of knee M17.2 Bilateral posttraumatic osteoarthritis of knee Excludes 1: Bilateral involvement of single joint (M16-M19) M17.4 Other bilateral secondary osteoarthritis of knee M18.0 Bilateral primary of first carpometacarpal joints M18.2 Bilateral posttraumatic osteoarthritis of first carpometacarpal joints Excludes 1: Bilateral involvement of single joint (M16-M19) M18.4 Other bilateral secondary osteoarthritis of first carpometacarpal joints Excludes 1: Polyarthritis (M15._) Excludes 2: Arthrosis of spine (M47._) Hallux rigidus (M20.2) Osteoarthritis of spine (M47.1_) Laterality: Shoulder - 1 Elbow - 2 Wrist - 3 Hand - 4 Ankle and foot - 7 ICD-9 and ICD-10 numeric codes and description are copyrighted by the World Health Organization. All rights reserved 2015. ICD-9 Code and Description 720.0 Ankylosing spondylitis ICD-10 Code Mapping Related ICD-10 Codes M45.0 Ankylosing spondylitis of multiple sites in spine M45.1 Ankylosing spondylitis of occipito-atlanto-axial region M45.2 Ankylosing spondylitis of cervical region M45.3 Ankylosing spondylitis of cervicothoracic region ICD-10 Guidelines Excludes 1: Arthropathy in Reiter’s disease (M02.3_) Juvenile (ankylosing) spondylitis (M08.1) Excludes 2: Behçet’s disease (M35.2) M45.4 Ankylosing spondylitis of throracic region M45.5 Ankylosing spondylitis of thoracolumbar region M45.6 Ankylosing spondylitis of lumbar region M45.7 Ankylosing spondylitis of lumbrosacral region M45.8 Anklosing spondylitis of sacral and sacrococcygeal region 725 Polymyalgia rheumatica M35.3 Polymyalgia rheumatica Excludes 1: Polymyalgia rheumatica with giant cell arteritis (M31.5) 727.3 Other bursitis M71.50 Other bursitis, not elsewhere classified, unspecified site Excludes 1: Bursitis NOS (M719_) Excludes 2: Bursitis of shoulder (M75.5) Anatomical site: Shoulder - 1 Elbow - 2 Wrist - 3 Hand - 4 Hip - 5 Knee- 6 Ankle and foot - 7 Vertebrae - 8 Multiple sites - 9 Laterality: Right - 1 Left - 2 729.1 Myalgia and myositis, unspecified M79.7 Fibromyalgia Excludes 2: Pain in joint (M25.5_) ICD-9 and ICD-10 numeric codes and description are copyrighted by the World Health Organization. All rights reserved 2015. ICD-9 Code and Description 730.2 Unspecified osteomyelitis [0-9] ICD-10 Code Mapping M86.10 Other acute ostemyelitis Related ICD-10 Codes M86.9 Other osteomyelitis, unspecified M86.60 Other chronic osteomyelitis ICD-10 Guidelines Anatomical site: Shoulder - 1 Elbow - 2 Wrist - 3 Hand - 4 Hip - 5 Knee- 6 Ankle and foot - 7 Vertebrae - 8 Multiple sites - 9 Laterality: Right - 1 Left - 2 733.00 Osteoporosis 733.01 Senile Osteoporosis 733.02 Idiopathic osteoporosis 733.03 Disuse osteoporosis 733.10 Pathological fracture unspecified site M81.0 Age-related M81.6 Localized osteoporosis without current osteoporosis [Lequesne] pathological fracture M81.8 Other osteoporosis without current pathological fracture Drug induced, idiopathic, post-traumatic Use additional code to identify: Personal history of (healed) osteoporosis fracture, if applicable (Z87.310) M80.00 Age-related osteoporosis with current pathological fracture, unspecified site Excludes 1: Pathological fracture NOS (M84.4) Excludes 1: Osteoporosis with current pathological fracture (M80._) Sudeck’s atrophy (M89.0) Use additional code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5) Excludes 2: Personal history of (healed) osteoporosis fracture (Z87.310) The appropriate 7th character is to be added to each code from M80. A - initial encounter for fracture D - subsequent encounter for fracture with routine healing S - sequela Anatomical site: Shoulder - 1 Humerus - 2 Forearm - 3 Hand - 4 Femur - 5 Lower leg- 6 Ankle and foot - 7 Vertebrae - 8 Laterality: Right - 1 Left - 2 ICD-9 and ICD-10 numeric codes and description are copyrighted by the World Health Organization. All rights reserved 2015. ICD-9 Code and Description 733.90 Disorder of bone and cartilage, unspecified ICD-10 Code Mapping Related ICD-10 Codes M85.89 Other specified disorders of bone density and structure, multiple sites (Osteopenia) ICD-10 Guidelines Anatomical site: Shoulder - 1 Humerus - 2 Forearm - 3 Hand - 4 Femur - 5 Lower leg- 6 Ankle and foot - 7 Vertebrae - 8 Laterality: Right - 1 Left - 2 Additional ICD-10 Codes ICD-9 Code and Description ICD-10 Code Mapping Related ICD-10 Codes ICD-10 Guidelines 250. Diabetes mellitus E11.9 Type 2 diabetes mellitus without complications Use additional code to identify any insulin use (Z79.4) 266.2 Other B-complex deficiencies E53.8 Deficiency of other specified B group vitamins (vitamin B12) Excludes 1: Vitamin B12 deficiency anemia (D51._) 268.9 Unspecified Vitamin D deficiency E55.9 Vitamin D deficiency, unspecified 278.01 Morbid obesity E66.01 Morbid (severe) obesity due to excess calories 285.9 Anemia, unspecified D64.9 Anemia, unspecified 401.9 Unspecified hypertension I10 Essential (primary) hypertension Use additional code to identify body mass index (BMI), if known (Z68._) Use additional codes to identify: Tobacco dependence (F17._) Tobacco use (Z72.0) 719.0 Effusion of joint [0-9] M25.40 Effusion, unspecified joint Anatomical site: Shoulder - 1 Elbow - 2 Wrist - 3 Hand - 4 Hip - 5 Knee- 6 Ankle and foot - 7 Other site - 8 Laterality: Right - 1 Left - 2 ICD-9 and ICD-10 numeric codes and description are copyrighted by the World Health Organization. All rights reserved 2015. ICD-9 Code and Description 719.4 Pain in joint [0-9] ICD-10 Code Mapping Related ICD-10 Codes M25.50 Pain in unspecified joint ICD-10 Guidelines Excludes 2: Pain in hand (M79.64_) Pain in fingers (M79.64_) Pain in foot (M79.67_) Pain in limb (M79.6_) Pain in toes (M79.67_) Anatomical site: Shoulder - 1 Elbow - 2 Wrist - 3 Hand - 4 Hip - 5 Knee- 6 Ankle and foot - 7 Laterality: Right - 1 Left - 2 724.2 Lumbago M54.5 Low back pain 724.5 Back pain M54.9 Back pain, NOS 729.5 Pain in limb M79.5 Pain in limb, hand, foot, fingers and toes Anatomical sites: upper arm - 2 forearm - 3 hand and finger -4 thigh - 5 lower leg - 6 foot and toes - 7 Laterality: Right - 1 Left - 2 729.5 Pain in limb M79.60 Pain in limb Anatomical sites: right arm - 1 left arm - 2 right leg - 4 left leg - 5 729.81 Swelling of limb M79.9 Soft tissue, unspecified M79.89 Other specified soft tissue disorders 780.79 Other malaise and fatigue R53.83 Other Fatigue NOS R53.82 Chronic fatigue, unspecified M79.89 is appropriate for the following anatomical sites: arm forearm finger foot hand leg ICD-9 and ICD-10 numeric codes and description are copyrighted by the World Health Organization. All rights reserved 2015. ICD-9 Code and Description ICD-10 Code Mapping Related ICD-10 Codes 782.3 Edema R60.9 Edema, unspecified R60.0 Localized edema 789.0 Abdominal pain [0-7,9] R10.9 Unspecified abdominal pain R10.0 Acute abdomen ICD-10 Guidelines R60.1 Generalized edema Excludes 1: Generalized abdominal pain NOS (R10.84) Localized abdominal pain (R10.1 - R10.3_) 790.1 Elevated sedimentation rate R70.0 Elevated erythrocyte sedimentation rate 790.95 Elevated C-reactive protein (CRP) R79.82 Elevated C-reactive protein [CRP] Use additional code to identify any retained foreign body, if applicable (Z18._) 795.51 PPD Positive R76.11 PPD Positive Excludes 1: Nonspecific reaction to QFT 795.52 Nonspecific reaction to QFT R76.12 Nonspecific reaction to QFT Excludes 1: PPD positive 795.79 Other and unspecified nonspecific immunological findings R76.0 Raised antibody titer V01.1 Contact with or exposure to tuberculosis Z20.1 Contact with and (suspected) exposure to tuberculosis V22.2 Pregnant state, incidental Z33.1 Pregnant state, incidental V58.61 Long-term (current) use of anticoagulants Z79.01 Long-term use of anticoagulants V58.64 Long-term (current) use of non-steroidal antiinflammatories (NSAID) Z79.1 Long-term (current) use of non-steroidal antiinflammatories (NSAID) V58.65 Long-term (current) use of steroids Z79.5_ Long-term (current) use of steroids Z79.51 Long-term (current) use of inhaled steroids Z79.52 Long-term (current) use of systemic steroids V58.69 Long-term (current) use of other medications Z79.899 Other long-term (current) drug therapy Use this code for long term use of biologics ICD-9 and ICD-10 numeric codes and description are copyrighted by the World Health Organization. All rights reserved 2015. ICD-9 Code and Description N/A Nicotine dependence (current) ICD-10 Code Mapping F17.20_ Nicotine dependence, unspecified Related ICD-10 Codes F17.21_ Nicotine dependence, cigarettes F17.22_ Nicotine dependence, chewing tobacco F17.29_ Nicotine dependence, other tobacco product ICD-10 Guidelines Excludes 1: History of tobacco dependence (Z87.891) Tobacco use NOS (Z72.0) Excludes 2: Tocacco use (smoking) during pregnancy, childbirth and the puerperium (O99.33_) Stages of dependence: Uncomplicated - 0 In remission - 1 Withdrawal - 3 N/A Tobacco use Z72.0 Tobacco use Excludes 1: History of tobacco dependence (Z87.891) Current nicotine dependence (F17.2_) N/A Personal history of nicotine dependence Z87.891 Personal history of nicotine dependence Excludes 1: Current nicotine dependence (F17.2_) ICD-9 and ICD-10 numeric codes and description are copyrighted by the World Health Organization. All rights reserved 2015.
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